Becca,
Of most concern, is that no antivirus, nor antispyware appear in your list of running processes from Startup.
Clean Access Agent.lnk is a feature I am not familiar with, but appears to be an access qualifier that is required of users who may be connected to a school or university internet access.
<– does that apply to you?
Other than possibly the above, what security applications do you run?
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Of your StartUp list "all" can be safely disabled and some possibly should be uninstalled.
Disabling StartUp files using System Configuration Utility or simply using CodeStuff Starters (remove the checkmark/tick from in front of each item) can be done simply and safely. All those programs and processes will continue to be available to you to use whenever you decide to start them manually by clicking on their icon or listing in Start-All Programs.
It is quite likely that having so much running from StartUp is consuming excessive system resources and particularly RAM memory to the point of lagging your keyboard.
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Unless you are a serious user of Google Desktop Search, I would Uninstall it.
Searching with My Computer/ Windows Explorer is more than enough for almost all users unless they have huge catalogs of inventory items they must search and keep track of. If you only have a few hundred saved documents and only several hundred tunes and/or media, you will be able to do just fine without the Google Desktop Search features.
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QuickTime is a notorious resource consumer. QuickTime Alternative is a fully functional application with a much smaller resource footprint.
Same with RealPlayer Realsched which is notorious frequent in "phoning home" to check on updates and media usage.
You can replace both with K-lite Mega Codec Pack and have, In My Opinion, a better media experience
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Many people are hesitant to disable the Dell Support "stuff" on their Dell machines. But in general it is bloatware and relatively un-used.
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CTFmon.exe is a MS utility for special language features, mostly for special needs access and a few features for Thai and Mandarin languages. If not needed, you'll be happy to be done with it.
GoTo -
Control Panel - Regional and Language Options - Languages(tab)
Press -
Details(button)
From the next Panel (Text Services and Input languages) - Select -
Advanced(tab)
Place a checkmark/tick in front of the System Configuration item: "
Turn off advanced Text Services"
Press -
Apply - OK - OK to back out and then close your Control Panel
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I happily recommend for you to disable "all" of the items listed in Startups list.
If for some reason you later decide you need a specific item to run from StartUp, you can re-Enable using CodeStuff Starters, or MSCONFIG
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Now I "seriously" inquire about Antivirus, AntiSpyware, and Firewall.
Please let me know what you have in place, and put something in place for security if you do not have anything installed.
Check here for an overview and suggestions:
http://forums.whatthetech.com/Preventing_M…ing_t98700.html
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Let us know how the machine is running after accomplishing the above.
Best Regards